one thousand nine hundred and twenty-five, by a person not
being the holder of a license issued by a local authority pursuant to its by-laws, the local authority may dispense with
an examination under this clause if it is satisfied that the
applicant has, for a period of not less than three months,
been accustomed to drive a motor-vehicle, and is fully competent to drive such motor-vehicle.

8. Every application to drive a motor-vehicle shall be in
   the form No. 1 in the Schedule hereto or to the effect thereof.
9. (1.) Every license to drive a motor-vehicle shall be in
   the form No. 2 in the Schedule hereto or to the effect thereof.
   (2.) A motor-driver's license issued under these regulations
   may apply in respect of one or more specified classes of
   motor-vehicles, but shall not authorize the holder thereof to
   drive any motor-vehicle of a class not specified in the license.
10. Every local authority shall keep a record of all motor-
    drivers' licenses issued by it pursuant to these regulations,
    showing with respect to each such license the following
    particulars :-
    (a.) The name, address, and occupation of the licensee:
    (b.) The date of issue of the license:
    (c.) The name of the examiner (if any) by whom the issue
    of the license was recommended:
    (d.) Particulars as to any cancellation, suspension, endorsement, or renewal of the license:
    (e.) Any other relevant particulars.
11. The powers and duties conferred or imposed by these
    regulations on any local authority shall be deemed to be duly
    exercised and performed if exercised or performed by any
    officer of that local authority, or by any other person specially
    authorized in that behalf by the local authority.

SCHEDULE.
[Form No. 1.
APPLICATION FOR A MOTOR-DRIVER'S LICENSE UNDER THE
MOTOR-VEHICLES ACT, 1924.
To the Clerk of the [Insert name of local authority in whose
district (a) garage is situated (in cases where applicant
is owner of a motor-vehicle), or (b) applicant is resident
(in cases where applicant is not owner of a motor-vehicle).]
I HEREBY apply for the issue to me of a motor-driver's
license under the Motor-vehicles Act, 1924, and the regulations
thereunder, in respect of [Specify class of motor-
vehicle-e.g., motor-cycle, traction-engine, motor-car, or as the
case may be]; and I do hereby solemnly declare that to the
best of my knowledge and belief the particulars hereinafter
set forth are true and correct :-
Full name of applicant:
Place of residence:
Usual postal address:
Occupation:
Situation of garage (if any):
Is applicant above age of fifteen years?
Is applicant the holder, or has he ever been the holder,
of any license to drive a motor-vehicle?
If so, give particulars as to -
Name of authority by whom license issued:
Date of issue:
Endorsements (if any):

Has applicant ever been licensed to drive a motor-vehicle
in any other country ?
If so, where?
Has applicant ever been refused a motor-driver's license?
If so, give particulars as to--
Name of authority to whom application made:
Grounds of refusal:
Date of application:
Any other relevant particulars:
Has applicant ever been convicted of any offence arising
out of the driving of any motor-vehicle ?
If so, give particulars:
Does applicant suffer from any physical defect or incapacity of a nature likely to interfere with his management of a motor-vehicle?
If so, give particulars:
What is applicant's experience of motor-driving? [Indicate briefly the nature and extent of applicant's experience.]
Dated at this day of , 19 .
Signature of applicant:

[F orm N o. 2.
LICENSE TO DRIVE MOTOR-VEHICLE.
Issued by the [Name of local authority].
The bearer [Name], of [Address], [Occupation], is hereby
licensed, pursuant to the regulations in that behalf
made under the Motor-vehicles Act, 1924, to drive a
motor-vehicle of the class or of any of the classes following, namely: [Specify class of vehicle to which license
applies-e.g., motor-cycle, traction-engine, motor-car, or as
the case may be.]
Subject to the said Act and regulations, this license
shall remain in force until the 31st March, 19 , and is
operative throughout New Zealand.
License fee: 5s.

Dated at , this day of , 19 .
Signature and description of officer authorized to
issue license on behalf of local authority:

ENDORSEMENTS.
[To be printed on back of License.]
Particulars as to Convictions in relation to Motor-driving.
| Date of | Place. | Court. | Nature of | Penalty. |
| conviction. | | | Offence. | |
| --- | --- | --- | --- | --- |
| | | | | |

F. D. THOMSON,
Clerk of the Executive Council.

By Authority: W. A. G. SKINNER, Government Printer, Wellington.
Price, 6d.]